HomeMy WebLinkAboutBP 1979-1620 Deck , .
Permit No. , D
CITY BLDG. FEE SCHEDULE • • •A• K HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 0-51" CITY 0
BLDG. PERMIT Z 0
CITY UTILITY
gXTERNA PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 9 LS 19
TOTAL AMOUNT DUE ---
STRUCTURE USED AS
REFRG. HANG
B ILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WR SIGN
MARK
X a �� C a C
SQUARES �_
Owner / r la P 11-/A/27710 Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
I 132- Varr SS N
LOT BLOCK ADDITION OR TRACT
1q 5 1
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE / / / W �� 2/6-0.0....)
DETAILS OR REMARKS:
BASEMENT 0 YES
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before germ jsgu
be ed. _
OWNER /CONTRACTOR SIGNED J� / { F / / l,/l /
OK'D BY _